The file's text, extracted by GovTribe without its formatting.
Instructions Colorado Department of Human Services - Behavioral Health Administration (BHA)
Budget Template Instructions
| General Instructions: |
| The Budget Template should be used to explain how an agency plans to use BHA funds consistent with the proposed Work Plan. The Budget Template includes two worksheets: Instructions and Budget Template. The budget example does not reflect the actual dollar amount available for this contract. Please confirm this amount from your Program or Fiscal contact. Budget requests and their associated deliverables need to be in alignment and provide a consistent, logical picture of what is to be accomplished, by whom, and the associated costs. In the event that this alignment does not occur, agencies, may be contacted with requests for clarifications and/or modifications. Additional information regarding Direct and Indirect Costs, Modified Total Direct Costs and unallowable costs can be found in the OMB Super Circular. |
| Refer to the Behavioral Health Accounting and Auditing Guidelines 2022 |
| https://hcpf.colorado.gov/sites/hcpf/files/2022%20Behavioral%20Health%20Accounting%20and%20Auditing%20Guidelines_0.pdf |
The budget categories in the template are provided for guidance purposes only. Contractors are not required to address each budget category if it is not applicable to the proposal.
Save this template with the following naming convention Agency Name_BHA Program_FYxx_BHA Annual Budget. Send all completed Annual Budgets to the appointed person.
The information contained in each expenditure category helps BHA understand the budget. Please provide narrative for each category in the "Description of Work" or the "Description of Item" section.
The form is an Excel worksheet that includes instructions in various cells that can be viewed by hovering the computer mouse over the cells. The instructions below give additional guidance.
| Contact Information |
| Complete the top portion of the form by providing Agency Name, Budget Period, Project Name, and Contact Information for both Program and Fiscal contacts. |
| BHA Program: Enter BHA Program Name | Program Contact Name, Title, Phone and Email |
| Agency Name: Enter agency's name | Enter agency's program contact information here |
| Budget Period: Enter budget/ project period dates | Fiscal Contact Name, Title, Phone and Email |
| Project Name: Enter the project name | Enter agency's fiscal contact information here |
| Date Completed |
| Enter the date this budget was completed and submitted to BHA |
| Personnel Services (Salaried Employees and Hourly Employees) | |
| It is BHA's expectation that agency employees included in this section will complete all of the work related to the project/contract. | |
| Column A: Position Title | |
| Example 1: | Project Coordinator (salaried) |
| Example 2: | Project Administrator (hourly) |
| Column B: Description of Work |
| Use the "Description of Work" column of the budget template to address the role and expected contribution of budgeted personnel. The time commitment of each individual should be justified as a reasonable estimate for the work to be performed. A description of how fringe benefits are projected and what components are included in the calculation (insurance, paid time off, pension, etc.) must be included. For hourly employees, please include hourly rate, hourly fringe and the number of hours budgeted. |
Columns D-F (salaried employees): Gross or Annual Salary / Fringe / Percent of Time on Project
| Enter the Gross or Annual salary, Fringe, and the Percent of Time Spent on Project for each employee that will work on the project. (If your contract is less than 12 months, enter the amount that the employee would receive for the time period) |
| For example: A full-time salaried employee is paid $60,000 a year; their fringe benefits rate is 22%; they plan to spend approximately 100% of their time on the project. Their total contribution to the Work Plan is calculated as follows: |
| ENTER ON FORM: | |
| $ 60,000 | *Gross Annual Salary |
| 22% | Fringe % |
| $ 13,200 | *Fringe ($60,000 x 22%) |
| $ 73,200 | Annual Salary + Fringe ($60,000 + $13,200) |
| 100% | *Percent of Time on Project |
| $ 73,200 | Amount Requesting from BHA (automatically calculates) |
*Enter into the Budget Template
Columns D-F (hourly employees): Hourly Wage / Hourly Fringe / Number of Hours on Project
| Enter the Hourly Wage, Hourly Fringe and the Total number of Hours on the Project that an employee will work on the project. |
| For example: An hourly employee is paid $15/hour with 25% fringe; their time on the project will be 20 hours/week for 39 weeks. Their total contribution to the Work Plan is calculated as follows: |
| 20 hours/week x 39 weeks = 780 Hours |
| $15/hour x 25% fringe = $3.75/hour fringe |
| $15/hour + $3.75/hour = $18.75/hr. |
| $18.75/hour x 780 hours = $14,625 |
| ENTER ON FORM: | |
| $ 15.00 | *Hourly Wage |
| 25% | Fringe % |
| $ 3.75 | *Hourly Fringe ($15 x 25%) |
| $ 18.75 | Hourly Wage + Fringe ($15.00 + $3.75) |
| 780 | *Total # of Hours on Project (20x 39 weeks) |
| $ 14,625 | Amount Requesting from BHA (automatically calculates) |
| *Enter into the Budget Template | |
| Column G: Total Amount Requested from BHA |
| This column should reflect the amount(s) the agency is requesting from BHA for each employee working on the project. |
| Total Personnel Services (including fringe benefits) |
| This row should show the totals for each columns and reflect the total amount of Personnel Services costs the agency is requesting from BHA. |
| Contractors/Consultants (payments to third parties or entities) |
| This category should describe costs for subcontractors (persons not employed by the agency) needed to complete work on the Work Plan. This includes consulting and personal services subcontracts. The Description of Item should specify the need for the subcontractor, the selection process, the work to be performed, how costs were calculated and the expected deliverables. BHA may request copies of contractual and grant agreements or MOU/MOA's during the contract period. Subcontractors may not be pre-paid for services. All Subcontractor contracts must follow a cost reimbursement structure. |
| Column A: Contractor/Consultant | |
| List the name of subcontractor | |
| Example 1: | New Hope |
| Column B: Description of Item | |
| Example 1: | New Hope: Project Towards No Drug Abuse Trainer |
| A contractor will be hired to conduct Project Towards No Drug Abuse training for 2 days with up to 15 participants from 3 area high schools. The contractor will be responsible for development and facilitation of training. A Request for Proposal will be developed to elicit contractors. Applications will be scored and selected based on reasonableness of cost and ability to meet stated criteria. The program staff members do not have the necessary skills to carry out the proposed work required as training skills are very specialized. Hiring a contractor is more feasible and cost effective than hiring a full-time employee for the first project year. | |
| Column E: Rate and Column F: Quantity | | | |
| Describe Rate in Column F and Quantity in Column G, if appropriate. | | | |
| Describe rate in this column if appropriate. | | | |
| | Rate | Quantity |
| Example 1: | New Hope | $ 2,000.00 | 9 |
| Column G: Total Amount Requested from BHA | | |
| This column should reflect the amount(s) the agency is requesting from BHA for each subcontractor. | | |
| | Total |
| | $ 18,000.00 |
| Total Contractors/Consultants | | |
| This row should reflect the total amount of Contractors/Consultants costs the agency is requesting from BHA. | | |
| Total Request | $ 18,000.00 |
| Subaward |
| Per 2 CFR 200.92, “Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a beneficiary of a Federal program. A subaward is a legally binding agreement issued when a substantive portion of the sponsored project will be performed by another entity |
| This category is completed the same as Contractors/Consultants section above |
| Subawards in excess of $50,000 are to be modified from the Total Direct Cost |
| Travel |
| Travel expenses are allowable for only official functions. Reimbursement for such expense may not exceed economical and reasonable costs. Reimbursement may not exceed actual costs or per diem for staff members. Costs for official travel may not exceed the limits set by the Internal Revenue Services |
| Column A: Item | |
| Example 1: | Employee Training |
| Example 2: | Community Meetings |
| Column B: Description of Item. | |
| Example 1: | CBT Training, 3 Staff (cost includes registration, training and transportation |
| Example 2: | Meeting in the community as a resource for schools and shelters |
| Column E: Rate and Column F: Quantity | | | |
| Describe Rate in Column E and Quantity in Column F, if appropriate. | | | |
| | Rate | Quantity |
| Example 1: | Training | $ 350.00 | 3 |
| Example 2: | Meeting | $ 0.65 | 400 |
| Column G: Total Amount Requested from BHA | | |
| This column should reflect the amount(s) the agency is requesting from BHA for each travel line. | | |
| | Total |
| Example 1: | Training | $ 1,050.00 |
| Example 2: | Meetings | $ 260.00 |
| Total Travel | | |
| This row should total Travel Expenses the agency is requesting from BHA. | | |
| Total Request | $ 1,310.00 |
| Supplies & Operating Expenses |
| Supplies and operating expenses may include, but are not limited to, rent, client costs, postage, office supplies, paid media, educational materials, and copying. |
| This column should list the item to be used in support of the Work Plan. |
| Column A: Item | |
| Example 1: | Employee Training |
| Example 2: | Telephone/Internet |
| Column B: Description of Item | | |
| This is a description of the item(s) listed in Item Column. Use the Item Description Column to describe the rationale for the costs budgeted (how it will be used to advance the Work Plan) and how cost estimates are calculated. | | |
| Example 1: | Employee Training | CBT Training, 3 staff (cost includes registration, training and transportation) |
| Example 2: | Telephone/Internet | Internet/server access services and telephone services cost averages $206.19 per person x 1 staff. |
| Column E: Rate and Column F: Quantity | | | |
| Describe Rate in Column E and Quantity in Column F, if appropriate. | | | |
| | Rate | Quantity |
| Example 1: | Employee Training | $ 350.00 | 3 |
| Example 2: | Telephone/Internet | $ 206.19 | 12 |
| Column G: Total Amount Requested from BHA | | |
| This column should reflect the amount(s) the agency is requesting from BHA for each supply item. | | |
| | Total |
| Example 1: | Employee Training | $ 1,050.00 |
| Example 2: | Telephone/Internet | $ 2,474.28 |
| Total Supplies & Operating Expenses | | |
| This row should total the Supplies & Operating Expenses the agency is requesting from BHA. | | |
| Requested Total | $ 2,524.00 |
| Total Direct Costs (TDC) |
| This row is the total of all Direct Costs the agency is requesting from BHA (Personnel Services, Contractors/Consultants, Travel and Supplies & Operating). |
| Modified Total Direct Costs (MTDC) per OMB 2CFR § 200 |
| Modified Total Direct Costs are calculated by subtracting certain expenses from the TDC. This is calculated when a Contractor has selected the 15% Indirect Rate. Certain expenses include: |
| *Subcontracts in excess of $50,000: Include any dollar amount above $50,000 for one contractor. |
| *Rent: Include rent if listed under Operating as a direct expense. |
| *Equipment: Include equipment over $10,000 or with a long term lease. |
| *Other Unallowable Expenses: Include such items as tuition remission, charges for patient care, etc.… |
| Indirect Costs |
| Indirect costs will be paid according to the OMB Super Circular provision. Any non-federal entity (including a non-profit organization) shall use either the de minimis rate of 15% of modified total direct costs (MTDC) or an approved and negotiated indirect cost rate (federal or state approved rate.) |
| Column A: Item |
| Please reflect one of the Indirect Cost options for this section. Indirect Costs may be requested (1) using the agency's Federally Negotiated Indirect Cost Rate or (2) agency's State Negotiated Indirect Cost Rate or (3) 15%. |
| Column B: Description of Item (description is not necessary for the negotiated rate agreement) |
| Example: Using indirect cost rate that applies 15% of Modified Total Direct Costs. |
| Column F: Percentage |
| Enter the percentage that applies, the dollar amount will auto populate. |
| Total Request |
| This row should be the TOTAL of all expenses, revenue offset, including Indirect Costs that the agency is requesting from BHA for the project. The Total will round. |
Budget Instructions
&P of revised: 02_02_2023
Budget Example
EXHIBIT B, FYxx ANNUAL BUDGET
BHA Program Behavioral Health Administration Programing
| Agency Name | ABC Health Center | Program Contact Name, Title | Jane Smith, Project Coordinator |
| | Phone | 303-888-5555 |
| | Email | jane.smith@abchealthctr.org |
| Budget Period | 07/01/2025-06/30/2026 | Fiscal Contract Name, Title | John Williams, Finance Director |
| | Phone | 303-888-5556 |
| | Email | john.williams@abchealthctr.org |
| Project Name | XYZ Project | Date Completed | 7/30/2024 |
| All budget numbers are estimates. Contract billing will be on a cost reimbursement basis for actual expenses incurred. | | | | | |
| EXPENDITURE CATEGORIES | | | | | |
| Personnel Services / Salaried Employees | | | | | Annual Budget |
| Position Title | Description of Work | Gross or Annual Salary | Fringe | Percent of Time on Project | Total Amount Requested from BHA |
| Case Manager | Responsible for in-reach to Mental Health Hospitals and other acute hospitals, to develop care plans with clients to support the successful transition of clients to community placements. | $ 50,000.00 | $ 8,087.00 | 100% | $ 58,087.00 |
| Peer Support Specialist | Support clients in all programs assist the clients in achieving their goals identified during the person centered planning process and during transition to the community. | $ 58,000.00 | $ 11,555.00 | 5% | $ 3,477.75 |
| Project Director | Oversee and guide program improvements and partnership development. | $ 70,000.00 | $ 14,690.00 | 30% | $ 25,407.00 |
| Project Accountant | Prepare and submit timely invoicing and required documentation. | $ 60,000.00 | $ 13,252.00 | 10% | $ 7,325.20 |
| Clinician | Lead therapy groups and individual services, including recruiting new clients and coordinating engagement services. | $ 62,000.00 | $ 12,133.00 | 5% | $ 3,706.65 |
| Clinician | Complete training to lead therapy groups and individual services, including recruiting new clients and coordinating engagement services. | $ 58,000.00 | $ 11,529.00 | 45% | $ 31,288.05 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Personnel Services / Hourly Employees | | | | | Annual Budget |
| Position Title | Description of Work | Hourly Wage | Hourly Fringe | Total # of Hours on Project | Total Amount Requested from BHA |
| Project Administrator | Supports Project Director with program administration. | $ 15.00 | $ 3.75 | 780.00 | $ 14,625.00 |
| | | | | $ - 0 |
| Total Personnel Service (including fringe benefits) | | | | | $ 143,917.00 |
| Contractors/Consultants (payments to third parties or entities) | | | | | Annual Budget |
| Contractor Name | Description of Work | | Rate | Quantity | Total Amount Requested from BHA |
| ABC Contractor | Training sessions for clinical team ($1500 per session) | | $ 1,500.00 | 5 | $ 7,500.00 |
| Total Contractors/Consultants | | | | | $ 7,500.00 |
| Subaward | | | | | Annual Budget |
| Therapy Referral Group Inc. | Collaborate as a primary referral partner and in quality improvement efforts on care coordination | | $ 110,000.00 | 1 | $ 110,000.00 |
| Total Contractors/Consultants | | | | | $ 110,000.00 |
| Travel | | | | | Annual Budget |
| Item | Description of Item | | Rate | Quantity | Total Amount Requested from BHA |
| Mileage | Mileage for transportation $0.54/mile estimated at 500mi/month for 12 months | | $ 0.54 | 6000 | $ 3,240.00 |
| Client transportation access | Access to clients for transportation to appointments, group sessions, and other project activities. Including bus passes, ride share, and other options deemed necessary by the project team. | | $ 150.00 | 100 | $ 15,000.00 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Travel | | | | | $ 18,240.00 |
| Supplies & Operating Expenses | | | | | Annual Budget |
| Item | Description of Item | | Rate | Quantity | Total Amount Requested from BHA |
| Cell phones, hotspots | Cell phones, hotspots for connectivity to facilitate project work while in the community and/or at clinic sites. $105/month. | | $ 105.00 | 12 | $ 1,260.00 |
| IT supplies and software | Tableau software ($750 per license) | | $ 1,500.00 | 2 | $ 3,000.00 |
| Training Materials | Training materials (e.g., manuals, books, handouts, web courses, fidelity monitoring assessments and documents) | | $ 1,000.00 | 1 | $ 1,000.00 |
| Clinical Materials | Clinical materials (e.g., printing for group handouts/worksheets, group therapy materials) | | $ 1,000.00 | 1 | $ 1,000.00 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Supplies & Operating Expenses | | | | | $ 6,260.00 |
| TOTAL DIRECT COSTS (TDC) | | | | | $ 285,917.00 |
| Exclustions from Indirect Cost Base expenses per OMB 2CFR § 200 | | | | | |
| Subaward in excess of $50,000 | | | | | $ 60,000.00 |
| Rent | | | | | $ - 0 |
| Equipment (over $10,000) | | | | | $ - 0 |
| Other Unallowable Expenses | | | | | $ - 0 |
| Total Expenses per OMB 2CFR § 200 | | | | | $ 60,000.00 |
| MODIFIED TOTAL DIRECT COSTS (MTDC) | | | | | $ 225,917.00 |
| Indirect Costs | | | | | Annual Budget |
| Indirect Cost | Description of Item | | | Percentage | Total Amount Requested from BHA |
| Drop Down Box | Describe what the cost includes and the use of allowance | | | | |
| 15% De Minimis Rate | ABC Contractor does have a federally negotiated rate and utilized the de minimis 15% rate. Indirect costs include human resources, information systems, accounting and finance, grant management, quality and informatics, compliance, and other administrative supports. | | | 15% | $ 33,887.55 |
| | | | | $ 0.15 |
| Total Indirect | | | | | $ 33,888.00 |
| TOTAL | | | | | $ 319,805.00 |
| The Parties may mutually agree, in writing, to modify the Budget administratively using an BHA Budget Reallocation form | | | | | |
EXHIBIT B
Page &P of revised: 04_12_2021
2 CFT § 200.92-Subaward means an award provided by a pass-through entity to subrecipient for the subrecipient to carry out part of a Federal award received by the pass-through entity . A subaward may be provided through any form of legal agreement, including an agreement that the pass-through entity considers a contract.
mailto:john.williams@abchealthctr.org Budget Exhibit B
EXHIBIT B, FY27 ANNUAL BUDGET
BHA Program
| Agency Name | | Program Contact Name, Title |
| | Phone |
| | Email |
| Budget Period | 07/01/2026-06/30/2027 | Fiscal Contract Name, Title |
| | Phone |
| | Email |
| Project Name | | Date Completed |
| All budget numbers are estimates. Contract billing will be on a cost reimbursement basis for actual expenses incurred. | | | | |
| EXPENDITURE CATEGORIES | | | | |
| Personnel Services / Salaried Employees | | | | Annual Budget |
| Position Title | Description of Work | Gross or Annual Salary | Fringe | |
ID#AAAAqs9XD14 Enter the total amount of fringe for the employee based on their annual salary. (2023-03-03 17:16:04) Do not use formula in cells Percent of Time on Project ID#AAAAqs9XD2Q Deborah J. Polk (2023-03-03 17:16:04) Enter the percentage of the employee's time spent on the project during the contract period.
ID#AAABHMzXV8U Deleted user (2024-02-23 17:18:55) _Marked as resolved_ ID#AAABHMzXV8Y Deleted user (2024-02-23 17:19:44)
| _Re-opened_ | Total Amount Requested from BHA | | |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| | | $ - 0 |
| Personnel Services / Hourly Employees | | Annual Budget |
| Position Title | Description of Work | |
ID#AAAAqs9XD18 Public Health & Environment (2023-03-03 17:16:04) Enter budget justification for the employee or position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
Describe how fringe is projected and what components are included (insurance, paid time off, pension, etc.). Hourly Wage ID#AAAAqs9XD2c Public Health & Environment (2023-03-03 17:16:04) Enter the employee's hourly wage.
Do not use a formula in this cell Hourly Fringe ID#AAAAqs9XD2I Public Health & Environment (2023-03-03 17:16:04) Enter the employee's hourly fringe amount (not the percentage). DO NOT use formulas in cells ID#AAAAqs9XD14 Enter the total amount of fringe for the employee based on their annual salary. (2023-03-03 17:16:04) Do not use formula in cells ID#AAAAqs9XD2Q Deborah J. Polk (2023-03-03 17:16:04) Enter the percentage of the employee's time spent on the project during the contract period.
ID#AAABHMzXV8U Deleted user (2024-02-23 17:18:55) _Marked as resolved_ ID#AAABHMzXV8Y Deleted user (2024-02-23 17:19:44)
| _Re-opened_ | Total # of Hours on Project | Total Amount Requested from BHA | | | |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Personnel Services (including fringe benefits) | | | | $ - 0 |
| Contractors / Consultants (payments to third parties or entities) | | | | Annual Budget |
| Contractor Name | Description of Work | Rate | Quantity | Total Amount Requested from BHA |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Contractors/Consultants | | | | $ - 0 |
| Subawards | | | | Annual Budget |
| Contractor Name | Description of Work | Rate | Quantity | Total Amount Requested from BHA |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Subawards | | | | $ - 0 |
| Travel | | | | Annual Budget |
| Item | Description of Item | Rate | Quantity | Total Amount Requested from BHA |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Travel | | | | $ - 0 |
| Supplies & Operating Expenses | | | | Annual Budget |
| Item | Description of Item | Rate | Quantity | Total Amount Requested from BHA |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| | | | | $ - 0 |
| Total Supplies & Operating Expenses | | | | $ - 0 |
| TOTAL DIRECT COSTS (TDC) | | | | $ - 0 |
| Exclusions from Indirect Cost Base expenses per OMB 2CFR § 200 | | | | |
| Subaward in excess of $50,000 | | | | $ - 0 |
| Rent | | | | $ - 0 |
| Equipment in excess of $10,000 | | | | $ - 0 |
| Other Unallowable Expenses | | | | $ - 0 |
| Total Expenses per OMB 2CFR § 200 | | | | $ - 0 |
| MODIFIED TOTAL DIRECT COSTS (MTDC) | | | | $ - 0 |
| Indirect Costs | | | | |
ID#AAAAqs9XD2E Tatia M. Konnick (2023-03-03 17:16:04) Applicants requesting indirect must provide OBH with a copy of their Negotiated Federal Indirect Cost rate plan or their Negotiated State Indirect Cost rate plan or apply 15% to the Modified Total Direct Costs (MTDC).
OBH will honor federal negotiated rate agreements.
Refer to Cost Principles Exhibit and the OMB Super Circular for possible disallowed expenses.
ID#AAAAqs9XD18 Public Health & Environment (2023-03-03 17:16:04) Enter budget justification for the employee or position title. Justification should address the role and expected contribution of budgeted personnel.
If less than full FTE, indicate in the description the % FTE worked for your agency.
| Describe how fringe is projected and what components are included (insurance, paid time off, pension, etc.). | | | Annual Budget | | |
| Indirect Cost | Description of Item | | Percentage | Total Amount Requested from BHA |
| Drop Down Box | Describe what the cost includes and the use of allowance | | | |
| 15% De Minimis Rate | client community room costs, other overhead - less than 15% to reach allowable amount | | | $ - 0 |
| | | | | #DIV/0! |
| Total Indirect | | | | $ - 0 |
| TOTAL Request | | | | $ - 0 |
| The Parties may mutually agree, in writing, to modify the Budget administratively using an BHA Budget Reallocation form | | | | |
EXHIBIT B
Page &P of Revised: 04_06_2023
2 CFT § 200.92-Subaward means an award provided by a pass-through entity to sub recipient for the sub recipient to carry out part of a Federal award received by the pass-through entity . A sub award may be provided through any form of legal agreement, including an agreement that the pass-through entity considers a contract.
Refer to Cost Principles Exhibit and the OMB Super Circular for possible disallowed expenses.
DO NOT use formulas in cells
Lkup
| 15% De Minimis Rate |
| Negotiated Federal Rate |
| Negotiated Colorado Rate |
| N/A |
image1.png image2.png